C River Neurology Of Connecticut Llc - Medicare Mental Health Clinic in Bloomfield, CT

C River Neurology Of Connecticut Llc is a medicare enrolled mental health clinic (Psychiatry & Neurology - Neurology) in Bloomfield, Connecticut. The current practice location for C River Neurology Of Connecticut Llc is 34 Jerome Ave Ste 204, Bloomfield, Connecticut. For appointments, you can reach them via phone at (860) 966-9680. The mailing address for C River Neurology Of Connecticut Llc is 34 Jerome Ave Ste 204, Bloomfield, Connecticut and phone number is (860) 966-9680.

C River Neurology Of Connecticut Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1083183453. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (860) 966-9680.

Contact Information

C River Neurology Of Connecticut Llc
34 Jerome Ave Ste 204
Bloomfield
CT 06002-2463
(860) 966-9680
(860) 216-6641

Mental Health Clinic Profile

Full NameC River Neurology Of Connecticut Llc
SpecialityPsychiatry & Neurology
Location34 Jerome Ave Ste 204, Bloomfield, Connecticut
Authorized Official Name and PositionGregory Warwick Taylor (OWNER)
Authorized Official Contact8608457543
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
C River Neurology Of Connecticut Llc
34 Jerome Ave Ste 204
Bloomfield
CT 06002-2463

Ph: (860) 966-9680
C River Neurology Of Connecticut Llc
34 Jerome Ave Ste 204
Bloomfield
CT 06002-2463

Ph: (860) 966-9680

NPI Details:

NPI Number1083183453
Provider Enumeration Date11/15/2018
Last Update Date01/08/2019

Medicare PECOS Information:

Medicare PECOS PAC ID1951643931
Medicare Enrollment IDO20190423000150

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Medical Identifiers

Medical identifiers for C River Neurology Of Connecticut Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083183453NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084N0400XPsychiatry & Neurology - Neurology (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. C River Neurology Of Connecticut Llc acts as a billing entity for following providers:
Provider NameGregory Warwick Taylor
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1144221607
PECOS PAC ID: 1254398647
Enrollment ID: I20160127001527

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